# KATHERINE LUTZ THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265220990
- **Authorized official:** KATHERINE LUTZ LCSW (OWNER)
- **Authorized official phone:** (703) 831-5995

## Contact information

- **Practice address:** 11250 ROGER BACON DR BLDG 10, RESTON, VA 20190-5219
- **Practice address phone:** (703) 831-5995
- **Mailing address:** 11250 ROGER BACON DR BLDG 10, RESTON, VA 20190-5219
- **Mailing address phone:** (703) 831-5995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2025
- **Last updated:** 04/30/2025